Back to Search
Start Over
Strategies to reduce hospital 30-day risk-standardized mortality rates for patients with acute myocardial infarction: a cross-sectional and longitudinal survey.
- Source :
-
BMC cardiovascular disorders [BMC Cardiovasc Disord] 2014 Sep 24; Vol. 14, pp. 126. Date of Electronic Publication: 2014 Sep 24. - Publication Year :
- 2014
-
Abstract
- Background: Survival rates after acute myocardial infarction (AMI) vary markedly across U.S. hospitals. Although substantial efforts have been made to improve hospital performance, we lack contemporary evidence about changes in hospital strategies and features of organizational culture that might contribute to reducing hospital AMI mortality rates. We sought to describe current use of several strategies and features of organizational culture linked to AMI mortality in a national sample of hospitals and examine changes in use between 2010 and 2013.<br />Methods: We conducted a cross-sectional survey of 543 hospitals (70% response rate) in 2013, and longitudinal analysis of a subsample of 107 hospitals that had responded to a survey in 2010 (67% response rate).<br />Results: Between 2010 and 2013, the use of many strategies increased, but the use of only two strategies increased significantly: the percentage of hospitals providing regular training to Emergency Medical Service (EMS) providers about AMI care increased from 36% to 71% (P-value < 0.001) and the percentage of hospitals using computerized assisted physician order entry more than doubled (P-value < 0.001). Most, but not all, hospitals reported having environments conducive to communication, coordination and problem solving.<br />Conclusions: We found few significant changes between 2010 and 2013 in hospital strategies or in key features of organizational culture that have been associated with lower AMI mortality rates. Findings highlight several opportunities to help close remaining performance gaps in AMI mortality among hospitals.
- Subjects :
- Cooperative Behavior
Cross-Sectional Studies
Emergency Medical Services organization & administration
Emergency Medical Technicians education
Emergency Medical Technicians organization & administration
Health Care Surveys
Humans
Inservice Training organization & administration
Interdisciplinary Communication
Longitudinal Studies
Medical Order Entry Systems organization & administration
Myocardial Infarction diagnosis
Myocardial Infarction therapy
Organizational Culture
Patient Care Team organization & administration
Time Factors
United States
Hospital Mortality
Hospitals
Myocardial Infarction mortality
Quality Improvement organization & administration
Quality Indicators, Health Care organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2261
- Volume :
- 14
- Database :
- MEDLINE
- Journal :
- BMC cardiovascular disorders
- Publication Type :
- Academic Journal
- Accession number :
- 25252826
- Full Text :
- https://doi.org/10.1186/1471-2261-14-126